#72710 04-09-2008 09:31 AM | Joined: Mar 2008 Posts: 3 Member | OP Member Joined: Mar 2008 Posts: 3 | after a few radiation treatments i am having mussle spasms in my neck, is there something that i can do to relieve the spasms ? | | | | Joined: Sep 2007 Posts: 98 Senior Member (75+ posts) | Senior Member (75+ posts) Joined: Sep 2007 Posts: 98 | Hi Skifan,
Could you give us more history such as type of cancer, any surgeries, treatment plan such as how much radiation or any chemo? Everything you can tell us. You can get an idea from the signatures of the people posting on this board. You can add your own signature info by clicking on My Stuff at the top and then clicking My Profile. At the bottom you can create your own signature with info.
Tom SCC T4N1M0 left side tongue & 1 node Dx 05/21/07 42 yrs old 40 Tx IMRT @ 70 Gy started 06/25/07 Cysplatin & 5fu 1st & 4th wks treatment ended 08/23/07
| | | | Joined: Feb 2004 Posts: 598 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Feb 2004 Posts: 598 | Ditto what Tom said. Also, have you had a neck dissection? All of these things factor in. Jeff SCC Right BOT Dx 3/28/2007 T2N2a M0G1,Stage IVa Bilateral Neck Dissection 4/11/2007 39 x IMRT, 8 x Cisplatin Ended 7/11/07 Complete response to treatment so far!!
| | | | Joined: Sep 2006 Posts: 8,311 Senior Patient Advocate Patient Advocate (old timer, 2000 posts) | Senior Patient Advocate Patient Advocate (old timer, 2000 posts) Joined: Sep 2006 Posts: 8,311 | I never had any spasms from the chemo or the rad and I didn't have a ND either.
David
Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
| | | | Joined: Nov 2002 Posts: 3,552 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Nov 2002 Posts: 3,552 | It took 2 years before the fibrosis in my neck (from RT) got to the point where I was having fairly consistent neck spasms. I tried PT with limited success and now they just give me scripts for Valium. I would ask the techs about your neck position and the spasms - something is not right. Maybe they got the headrest backwards - they did that to me one time. In any case you shouldn't be having spasms this early in the game.
Gary Allsebrook *********************************** Dx 11/22/02, SCC, 6 x 3 cm Polypoid tumor, rt tonsil, Stage III/IVA, T3N0M0 G1/2 Tx 1/28/03 - 3/19/03, Cisplatin ct x2, IMRT, bilateral, with boost, x35(69.96Gy) ________________________________________________________ "You are a mist that appears for a little while and then vanishes" (James 4:14 NIV)
| | | | Joined: Mar 2008 Posts: 3 Member | OP Member Joined: Mar 2008 Posts: 3 | thanks to all who gave their time in responding. I had my left side parotid glan removed on feb. 14. i started radiation last thursday at a rate of 5 times per week. on my 3rd treatment i experienced spasms on the area being treated 6 hours after treatment. no chemo. skifan
acinic cell adenocarsinoma , removeral of the poradid gland, radiation only (35 treatments @ 5 min run time). age 54/m/fla
| | | | Joined: Feb 2008 Posts: 341 Platinum Member (300+ posts) | Platinum Member (300+ posts) Joined: Feb 2008 Posts: 341 | I just asked Dan this question and he said he gets them under his chin after yawning... But they must not be too bad because he's not mentioned them before.
Michelle, CG to husband (45), DX 2/08 Stage IVa Adenocarcinoma Salivary Gland (T2N2bMO) Parotidectomy & ND 2/08, Tumor margins not clear, 4 of 30 nodes positve for cancer, TX IMRT 39x, cisplatin 7x (completed 5/1/08), PEG (4/22 - 7/9), No port. Currently in remission!
| | | | Joined: Dec 2003 Posts: 2,606 Likes: 2 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Dec 2003 Posts: 2,606 Likes: 2 | What a great topic. I have spasms that I now know are called fasciculations. The muscles on the left side of my neck, the big ones in the back of the head, the left shoulder all twitch as many as hundreds of times per minute. After going through PT that only made it 100 times worse, I found a neurologist that has conducted numerous studies on post-radiation issues and many people 10 years out from radiation develop a syndrome that he has discovered. I was just lucky because it happened so soon, I guess. I had an EMG and then another test where they stick a needle into the neck and all the spasm areas, even the tongue from under the chin with a sonagram type noise when the muscle fires. I have tried the standard drugs, Neurontin, Gabapentin, etc., but nothing has worked and likely will work.
I took Gary's advice long ago and a valium/vicodin at bed time keeps my neck from flopping off the pillow and allows me to sleep without the dog and wife complaining about me not laying still!
A good night's sleep keeps the spasms down most of the day so I do not medicate until after work.
I still get massive spasms that create a fist sized ball in my neck sometimes but they massage out and only last for seconds.
I would be glad to offer the study if anyone is interested.
Ed
SCC Stage IV, BOT, T2N2bM0 Cisplatin/5FU x 3, 40 days radiation Diagnosis 07/21/03 tx completed 10/08/03 Post Radiation Lower Motor Neuron Syndrome 3/08. Cervical Spinal Stenosis 01/11 Cervical Myelitis 09/12 Thoracic Paraplegia 10/12 Dysautonomia 11/12 Hospice care 09/12-01/13. COPD 01/14 Intermittent CHF 6/15 Feeding tube NPO 03/16 VFI 12/2016 ORN 12/2017 Cardiac Event 06/2018 Bilateral VFI 01/2021 Thoracotomy Bilobectomy 01/2022 Bilateral VFI 05/2022 Total Laryngectomy 01/2023
| | | | Joined: Nov 2002 Posts: 3,552 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Nov 2002 Posts: 3,552 | David, the best is yet to come. The RT damage to the traps doesn't come into play for as long as 2 years post Tx. Radiation truly is the gift that keeps on giving. The spasms I have been getting are progressively getting worse as time goes on.
Michelle, I had pain on yawning early on in Tx and immediately post Tx as well. Most of that is from the radiation burns and mucositus. it could hurt like hell at times.
Ed, I use codeine instead because Vicodin has acetaminophen in it which is bad for the liver. PT didn't help me either but they did come up with suggestions for pillow heights depending on how you sleep which were useful (lower for stomach sleepers and higher for side sleepers).
Gary Allsebrook *********************************** Dx 11/22/02, SCC, 6 x 3 cm Polypoid tumor, rt tonsil, Stage III/IVA, T3N0M0 G1/2 Tx 1/28/03 - 3/19/03, Cisplatin ct x2, IMRT, bilateral, with boost, x35(69.96Gy) ________________________________________________________ "You are a mist that appears for a little while and then vanishes" (James 4:14 NIV)
| | | | Joined: Dec 2003 Posts: 2,606 Likes: 2 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Dec 2003 Posts: 2,606 Likes: 2 | Thanks Gary! I have had such remarkable results from the Hep C stuff and all liver functions are normal since 2003. I still limit the acetaminophen to 2 grains per day. My father is a pharmacist and we have been having lengthy discussions about codeine versus vicodin/loritab and he says codeine may cause more constipatin when taken longer term and oxycodone is considerably stronger. I have even gone back to the Fentanyl patches although only at 25 mcg/hr. The pain gets really tough sometimes.
The pillow thing isn't an issue because I can only last about 45 seconds on the side because of the shoulder surgeries. I use the pillows from Brookstone that really work well plus the wierd wheat or something like that pillow that conforms well.
I'm sorry to hear yours is progressivley worse but I know exactly what you mean. I have gone to a c-collar for all airplane trips and extended car trips as well. I just know something has to work.
SCC Stage IV, BOT, T2N2bM0 Cisplatin/5FU x 3, 40 days radiation Diagnosis 07/21/03 tx completed 10/08/03 Post Radiation Lower Motor Neuron Syndrome 3/08. Cervical Spinal Stenosis 01/11 Cervical Myelitis 09/12 Thoracic Paraplegia 10/12 Dysautonomia 11/12 Hospice care 09/12-01/13. COPD 01/14 Intermittent CHF 6/15 Feeding tube NPO 03/16 VFI 12/2016 ORN 12/2017 Cardiac Event 06/2018 Bilateral VFI 01/2021 Thoracotomy Bilobectomy 01/2022 Bilateral VFI 05/2022 Total Laryngectomy 01/2023
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